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Individual
PAUL MATHEW
Active
Individual
PAUL MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
37325
AZ
207R00000X
Internal Medicine Physician
MD2011-0243
NM
207R00000X
Internal Medicine Physician
P1568
TX
208M00000X
Hospitalist Physician
Primary
P1568
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2967929-01
—
TX
01
—
8DZ192
BC/BS OF TEXAS
TX
01
—
P01249699
RAILROAD RETIREMENT MEDICARE
TX
Enumeration date
07/07/2006
Last updated
01/19/2022
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